Provider Demographics
NPI:1730195587
Name:HOQUE, AZIZUL (MD)
Entity type:Individual
Prefix:DR
First Name:AZIZUL
Middle Name:
Last Name:HOQUE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1996 CLIFF VALLEY WAY NE
Mailing Address - Street 2:200
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329-2449
Mailing Address - Country:US
Mailing Address - Phone:404-636-9323
Mailing Address - Fax:404-320-6420
Practice Address - Street 1:1400 WELLBROOK CIR NE
Practice Address - Street 2:103
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30012-3825
Practice Address - Country:US
Practice Address - Phone:770-785-7112
Practice Address - Fax:770-785-7115
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA49032207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAH11003Medicare UPIN
GA06BDGTGMedicare ID - Type Unspecified